The effects of normal and interrupted sleep combined with acute caffeine supplementation on some immune system indices and anaerobic power in male athletes

Document Type : Original Article

Authors

1 Department of Exercise Physiology, Faculty of Sport Sciences, University of Guilan, Rasht, Iran

2 Sports Physiology Department, Faculty of Sports Sciences, Gilan University, Rasht, Iran

Abstract

Background and Purpose: Adequate sleep is recognized as a fundamental factor in enhancing athletic performance. Studies have shown that poor sleep can lead to decreased anaerobic power and increased risk of diseases. Additionally, caffeine consumption, as one of the popular sports supplements, can directly or indirectly affect the immune system through its impact on sleep and rest, and also result in positive effects on performance. In the current study, the effects of normal and interrupted sleep combined with acute caffeine supplementation on some immune system indices and anaerobic power in male athletes were examined.
Materials and Methods: This semi-experimental study was conducted using a randomized design. Fourteen male athletes (mean±SD; age, 22.92±1.32 years; height, 176.4±4.38 cm; weight, 71.42±9.65 kg) participated in this study. Participants were randomly and equally assigned to 2 groups and 2 sessions: 1) normal sleep, caffeine/placebo (NSP/NSC) and 2) Interrupted sleep, caffeine/placebo (ISP/ISC). The supplement group consumed 6 mg of caffeine per kilogram of body weight, while the placebo group consumed chickpea flour. To assess anaerobic power, a Monark cycle ergometer test was applied with 20 seconds of cycling followed by 20 seconds of rest, immediately followed by 12 sets of 4-second cycling with 10-second rests. Blood samples were taken at four time points: 8 AM (baseline), 60 minutes after supplementation, 5 minutes post-test, and 360 minutes post-test.
Results: Five minutes after the test, platelet to lymphocyte ratio (PLR), neutrophil to lymphocyte ratio (NLR), and systemic immune-inflammation (SII) values showed a significant decrease in normal sleep and caffeine conditions compared to interrupted sleep and placebo conditions. Whith blood cells (WBC) values in normal sleep and placebo conditions demonstrated a significant (p<0.05) increase compared to other conditions at 360 minutes post-test. Additionally, at 360 minutes post-test, NLR and SII values in interrupted sleep and caffeine conditions showed a significant increase compared to normal sleep and caffeine conditions (p<0.05). Caffeine supplementation significantly increased NLR and SII values in interrupted sleep and caffeine conditions compared to normal sleep and placebo conditions (p<0.05). Caffeine consumption led to a significant increase in peak power in the normal sleep group compared to other conditions (p<0.05).
Conclusion: The results indicated that sleep deprivation negatively impacts immune system indicators, and caffeine supplementation after sleep deprivation improves some immune markers. Although the ergogenic effects of caffeine were confirmed under normal sleep conditions, the lack of enhancement in anaerobic performance with caffeine supplementation during sleep deprivation suggests a need for further research on the effects of different dosages of caffeine supplementation on anaerobic performance. Therefore, considering the improvement in immune function markers under sleep deprivation with caffeine supplementation, even without enhancing anaerobic performance, and the fact that sleep deprivation strongly activates the body's inflammatory signaling network, the use of this supplement can be recommended for athletes in conditions of sleep deprivation and before intense activities.
 

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  1. Redwine L, Hauger RL, Gillin JC, Irwin M. Effects of sleep and sleep deprivation on interleukin-6, growth hormone, cortisol, and melatonin levels in humans. The Journal of Clinical Endocrinology & Metabolism. 2000;85(10):3597-603. doi:10.1210/jcem.85.10.6871
  2. Chandola T, Ferrie JE, Perski A, Akbaraly T, Marmot MG. The effect of short sleep duration on coronary heart disease risk is greatest among those with sleep disturbance: a prospective study from the Whitehall II cohort. Sleep. 2010;33(6):739-44doi:10.1093/sleep/33.6.739.
  3. Kaliyaperumal D, Elango Y, Alagesan M, Santhanakrishanan I. Effects of sleep deprivation on the cognitive performance of nurses working in shift. Journal of clinical and diagnostic research: JCDR. 2017;11(8):CC01. doi:10.7860/JCDR/2017/26029.10324
  4. Jennings J, Monk T, Van der Molen M. Sleep deprivation influences some but not all processes of supervisory attention. Psychological Science. 2003;14(5):473-86. doi:10.1111/1467-9280.02456
  5. Ohayon M, Wickwire EM, Hirshkowitz M, Albert SM, Avidan A, Daly FJ, et al. National Sleep Foundation's sleep quality recommendations: first report. Sleep health. 2017;3(1):6-19. doi:10.1016/j.bbi.2014.10.004
  6. Lasselin J, Rehman J-u, Åkerstedt T, Lekander M, Axelsson J. Effect of long-term sleep restriction and subsequent recovery sleep on the diurnal rhythms of white blood cell subpopulations. Brain, behavior, and immunity. 2015;47:93-9. doi:10.1096/fasebj.10.5.8621064
  7. Irwin M, McClintick J, Costlow C, Fortner M, White J, Gillin JC. Partial night sleep deprivation reduces natural killer and celhdar immune responses in humans. The FASEB journal. 1996;10(5):643-53. doi:10.1016/j.bbi.2011.04.004
  8. Fondell E, Axelsson J, Franck K, Ploner A, Lekander M, Bälter K, Gaines H. Short natural sleep is associated with higher T cell and lower NK cell activities. Brain, behavior, and immunity. 2011;25(7):1367-75. doi:10.1016/j.bbi.2011.04.004
  9. Simpson N, Gibbs E, Matheson G. Optimizing sleep to maximize performance: implications and recommendations for elite athletes. Scandinavian journal of medicine & science in sports. 2017;27(3):266-74. doi:10.1111/sms.12703
  10. Sajad A, Abdolali B, Rasoul G, Roodabeh Shakiba T. Effects of sleep deprivation and anaerobic exercises on the serum levels of cortisol and IgA in male athletes. 2015. doi:10.22102/20.5.74 [In Persian]
  11. Weinberg BA, Bealer BK. The world of caffeine: the science and culture of the world's most popular drug: Routledge; 2004. doi:10.4324/9780203011799.
  12. Ranjbar R, Kordi MR, Gaeini AA. The Effect of Caffeine Ingestion on Anaerobic Power; Fatigue Index and Blood lactateLlevels in Boys Athlete Students. Journal of Sport Biosciences. 2009;1(1):123-36.
  13. Pickering C, Kiely J. Are the current guidelines on caffeine use in sport optimal for everyone? Inter-individual variation in caffeine ergogenicity, and a move towards personalised sports nutrition. Sports Medicine. 2018;48:7-16. .doi: 10.1007/s40279-017-0776-1

 

  1. Walzik D, Joisten N, Zacher J, Zimmer P. Transferring clinically established immune inflammation markers into exercise physiology: focus on neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio and systemic immune-inflammation index. European Journal of Applied Physiology. 2021;121(7):1803-14. doi:10.1007/s00421-021-04668-7
  2. Ethelbert RA, Setianingrum EL, Lada CO, Folamauk CLH. Relationship between Sleep Quality and Low Inflammation in Medical Students of Universitas Nusa Cendana. 2023. DOI: 10.36349/easms.2023.v06i03.001
  3. Akkaoui MA, Palagini L, Geoffroy PA. Sleep Immune Cross Talk and Insomnia. Neuroinflammation, Gut-Brain Axis and Immunity in Neuropsychiatric Disorders: Springer; 2023. p. 263-73.
  4. Baranwal N, Phoebe KY, Siegel NS. Sleep physiology, pathophysiology, and sleep hygiene. Progress in Cardiovascular Diseases. 2023. doi:10.1016/j.pcad.2023.02.005
  5. Boyett JC, Giersch GE, Womack CJ, Saunders MJ, Hughey CA, Daley HM, Luden ND. Time of day and training status both impact the efficacy of caffeine for short duration cycling performance. Nutrients. 2016;8(10):639. doi:10.3390/nu8100639
  6. Geng Z, Guan S, Wang S, Yu Z, Liu T, Du S, Zhu C. Intercellular mitochondrial transfer in the brain, a new perspective for targeted treatment of central nervous system diseases. CNS Neuroscience & Therapeutics. 2023. doi:10.1111/cns.14344
  7. Grgic J, Sabol F, Venier S, Mikulic I, Bratkovic N, Schoenfeld BJ, et al. What dose of caffeine to use: acute effects of 3 doses of caffeine on muscle endurance and strength. International journal of sports physiology and performance. 2019;15(4):470-7. doi:10.1123/ijspp.2019-0433
  8. Shirvani H, Arabzadeh E, Akbari J. The short-term effect of caffeine supplementation on immune-endocrine responses to acute intensive exercise. Science & Sports. 2020;35(3):e65-e74. doi:10.1016/j.scispo.2019.07.003
  9. Boudjeltia KZ, Faraut B, Stenuit P, Esposito MJ, Dyzma M, Brohée D, et al. Sleep restriction increases white blood cells, mainly neutrophil count, in young healthy men: a pilot study. Vascular health and risk management. 2008;4(6):1467-70. doi:10.2147/vhrm.s3934 
  10. Christoffersson G, Vågesjö E, Pettersson US, Massena S, Nilsson EK, Broman J-E, et al. Acute sleep deprivation in healthy young men: impact on population diversity and function of circulating neutrophils. Brain, behavior, and immunity. 2014;41:162-72. doi:10.1016/j.bbi.2014.05.010
  11. Kadier K, Dilixiati D, Ainiwaer A, Liu X, Lu J, Liu P, et al. Analysis of the relationship between sleep-related disorder and systemic immune-inflammation index in the US population. BMC psychiatry. 2023;23(1):773. doi:10.1186/s12888-023-05286-7
  12. KUNDİ FCS. Association of Systemic Immune-Inflammation Index with the Presence and Severity of Obstructive Sleep Apnea Syndrome. ACH Medical Journal. 2023;2(3):152-7. Doi : 10.5505/achmedj.2023.58066
  13. You Y, Chen Y, Fang W, Li X, Wang R, Liu J, Ma X. The association between sedentary behavior, exercise, and sleep disturbance: a mediation analysis of inflammatory biomarkers. Frontiers in immunology. 2023;13:1080782. doi:10.3389/fimmu.2022.1080782
  14. Ruiz FS, Andersen ML, Martins RC, Zager A, Lopes JD, Tufik S. Immune alterations after selective rapid eye movement or total sleep deprivation in healthy male volunteers. Innate immunity. 2012;18(1):44-54. doi: 10.1177/1753425910385962
  15. Mejri M, Hammouda O, Chaouachi A, Zouaoui K, Rayana MB, Souissi N. Effects of two types of partial sleep deprivation on hematological responses during intermittent exercise: A pilot study. Science & sports. 2014;29(5):266-74.
  16. Moore J, McDonald C, McIntyre A, Carmody K, Donne B. Effects of acute sleep deprivation and caffeine supplementation on anaerobic performance. Sleep Science. 2018;11(01):2-7. DOI: 10.5935/1984-0063.20180002
  17. Vardar SA, Öztürk L, Kurt C, Bulut E, Sut N, Vardar E. Sleep deprivation induced anxiety and anaerobic performance. Journal of sports science & medicine. 2007;6(4):532. PMID: 24149488
  18. Patrick Y, Lee A, Raha O, Pillai K, Gupta S, Sethi S, et al. Effects of sleep deprivation on cognitive and physical performance in university students. Sleep and biological rhythms. 2017;15:217-25. DOI 10.1007/s41105-017-0099-5
  19. Garbarino S, Lanteri P, Bragazzi NL, Magnavita N, Scoditti E. Role of sleep deprivation in immune-related disease risk and outcomes. Communications biology. 2021;4(1):1304 doi:10.1038/s42003-021-02825-4 |
  20. Heiser P, Dickhaus B, Schreiber W, Clement H-W, Hasse C, Hennig J, et al. White blood cells and cortisol after sleep deprivation and recovery sleep in humans. European archives of psychiatry and clinical neuroscience. 2000;250:16-23. doi:10.1007/pl00007534 
  21. Büttner P, Mosig S, Lechtermann A, Funke H, Mooren FC. Exercise affects the gene expression profiles of human white blood cells. Journal of applied physiology. 2007;102(1):26-36. doi:10.1152/japplphysiol.00066.2006
  22. Lima-Silva AE, Cristina-Souza G, Silva-Cavalcante MD, Bertuzzi R, Bishop DJ. Caffeine during high-intensity whole-body exercise: an integrative approach beyond the central nervous system. Nutrients. 2021;13(8):2503. doi: 10.3390/nu13082503
  23. Olas B, Bryś M. Effects of coffee, energy drinks and their components on hemostasis: The hypothetical mechanisms of their action. Food and chemical toxicology. 2019;127:31-41. doi:10.1016/j.fct.2019.02.039
  24. Mahdavi R, Daneghian S, Homayouni A, Jafari A. Effects of caffeine supplementation on oxidative stress, exercise-induced muscle damage and leukocytosis. Pharmaceutical sciences. 2019;18(3):177-82. doi:10.52547/JCT.2.4.377[In Persian]
  25. Ditmer M, Gabryelska A, Turkiewicz S, Białasiewicz P, Małecka-Wojciesko E, Sochal M. Sleep problems in chronic inflammatory diseases: prevalence, treatment, and new perspectives: a narrative review. Journal of Clinical Medicine. 2021;11(1):67. doi:10.3390/jcm11010067
  26. Ranjbaran Z, Keefer L, Stepanski E, Farhadi A, Keshavarzian A. The relevance of sleep abnormalities to chronic inflammatory conditions. Inflammation Research. 2007;56:51-7. doi:10.1007/s00011-006-6067-1 
  27. Davis JM, Zhao Z, Stock HS, Mehl KA, Buggy J, Hand GA. Central nervous system effects of caffeine and adenosine on fatigue. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology. 2003. doi:10.1152/ajpregu.00386.2002

 

a

  • Receive Date: 29 May 2024
  • Revise Date: 11 July 2024
  • Accept Date: 14 July 2024
  • First Publish Date: 14 July 2024
  • Publish Date: 22 August 2024